scholarly journals The ‘Ivy Sign’ of Moyamoya disease

2019 ◽  
Vol 10 (3) ◽  
pp. 56-58
Author(s):  
Ummer Karadan ◽  
Robin George Manappallil
Keyword(s):  
Moyamoya Disease ◽  
Magnetic Resonance Image ◽  
Age Group ◽  
Left Hemiparesis ◽  
Image Finding ◽  
Recurrent Headache ◽  
Pediatric Age Group ◽  
Magnetic Resonance Image Finding ◽  
The Brain ◽  
Idiopathic Disease

Stroke is uncommon in pediatric age group. Moyamoya is a rare idiopathic disease characterized by progressive vaso-occlusion of the main blood vessels to the brain. We report a case of 13 year old female who presented with recurrent headache and transient left hemiparesis and was diagnosed to have Moyamoya disease. The ‘ivy sign’ is a characteristic magnetic resonance image finding seen in patients with Moyamoya disease.

scholarly journals Moyamoya disease in pediatric patients: outcomes of neurosurgical interventions

2008 ◽  
Vol 24 (2) ◽  
pp. E16 ◽  
Author(s):  
Anand Veeravagu ◽  
Raphael Guzman ◽  
Chirag G. Patil ◽  
Lewis C. Hou ◽  
Marco Lee ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Moyamoya Disease ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Small Populations ◽  
Age Group ◽  
Radiological Findings ◽  
Advantages And Disadvantages ◽  
Pediatric Age Group ◽  
Revascularization Procedures

✓Neurosurgical interventions for moyamoya disease (MMD) in pediatric patients include direct, indirect, and combined revascularization procedures. Each technique has shown efficacy in the treatment of pediatric MMD; however, no single study has demonstrated the superiority of one technique over another. In this review, the authors explore the various studies focused on the use of these techniques for MMD in the pediatric population. They summarize the results of each study to clearly depict the clinical outcomes achieved at each institution that had utilized direct, indirect, or combined techniques. In certain studies, multiple techniques were used, and the clinical or radiological outcomes were compared accordingly. Direct techniques have been shown to aid a reduction in perioperative strokes and provide immediate revascularization to ischemic areas; however, these procedures are technically challenging, and not all pediatric patients are appropriate candidates. Indirect techniques have also shown efficacy in the pediatric population but may require a longer period for revascularization to occur and perfusion deficits to be reversed. The authors concluded that the clinical efficacy of one technique over another is still unclear, as most studies have had small populations and the same outcome measures have not been applied. Authors who compared direct and indirect techniques noted approximately equal clinical outcomes with differences in radiological findings. Additional, larger studies are needed to determine the advantages and disadvantages of the different techniques for the pediatric age group.

scholarly journals MoyaMoya Disease in a Child: a Case Report

Pulse ◽  
2014 ◽  
Vol 6 (1-2) ◽  
pp. 62-65
Author(s):  
MA Joarder ◽  
M Chandy
Keyword(s):  
Case Report ◽  
Acute Stroke ◽  
Vascular Disease ◽  
Moyamoya Disease ◽  
Unknown Etiology ◽  
Cerebral Stroke ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group ◽  
Revascularization Surgery

Acute stroke is an infrequent disease of pediatric age group patients. MoyaMoya is a rare cerebro vascular disease of unknown etiology. We report a case of 14-year-old male child who presented with right-sided hemiplegia and diagnosed as a MoyaMoya disease. MoyaMoya disease is rare, but important as a cause of cerebral stroke in children. Cerebral revascularization surgery leads to favorable outcome. DOI: http://dx.doi.org/10.3329/pulse.v6i1-2.20357 Pulse Vol.6 January-December 2013 p.62-65

scholarly journals Age-Related Changes of the Pineal Gland in Humans: A Digital Anatomo-Histological Morphometric Study on Autopsy Cases with Comparison to Predigital-Era Studies

Medicina ◽  
2021 ◽  
Vol 57 (4) ◽  
pp. 383
Author(s):  
Bogdan-Alexandru Gheban ◽  
Horațiu Alexandru Colosi ◽  
Ioana-Andreea Gheban-Rosca ◽  
Bogdan Pop ◽  
Ana-Maria Teodora Domșa ◽  
...  
Keyword(s):  
Pineal Gland ◽  
Age Groups ◽  
Polarized Light ◽  
Morphometric Study ◽  
Age Group ◽  
Autopsy Study ◽  
Pediatric Age Group ◽  
Age Related ◽  
The Brain ◽  
Age Related Changes

Background and objectives: The pineal gland is a photoneuroendocrine organ in the midline of the brain, responsible primarily for melatonin synthesis. It is composed mainly of pinealocytes and glial tissue. This study examined human postmortem pineal glands to microscopically assess age-related changes using digital techniques, and offers a perspective on evolutionary tendencies compared to the past. Materials and Methods: A retrospective autopsy study has been performed on 72 pediatric and adult autopsy cases. The glands have been processed for histological analysis and immunohistochemical staining with glial fibrillary acidic protein (GFAP). Slides were assessed under polarized light and digitally scanned. Morphometric data were obtained using CaseViewer and ImageJ. Results: Thirty-three females and 39 males were included in the study, grouped under three age groups: 0–25, 46–65, and 66–96 years of age. The peak gland volume was found within the 46–65 age group, the overall mean volume was 519 mm3, the main architectural types were lobular and insular, and the mean percentage of pineal calcification was 15% of the gland, peaking within the 66–96 age group, with a predominantly globular shape. Glial cysts were found in 20.8% of cases. The intensity of GFAP stain was maximal in the pediatric age group, but the extent of glial tissue was much larger in elderly patients. Discussion: The degenerative process of the pineal gland can be quantified by measuring normal parenchyma, calcifications, glial tissue, and glial cysts. Morphometric differences have been observed and compared to a similar studies performed in the published literature. The current study, unfortunately, lacks a 26–45 age group. Digital techniques seemed to offer a more exact analysis, but returned similar results to studies performed over 40 years ago, therefore offering important information on evolutionary tendencies. Conclusions: Increase in glial tissue, calcifications, and glial cysts have a defining role as age-related changes in the pineal gland.

scholarly journals Individualized Treatment of Bone Marrow Edema of the Knee With the Aid of Classical Homeopathy: A Report of 2 Cases

2020 ◽  
Vol 13 ◽  
pp. 117954762090489
Author(s):  
Dionysis Tsintzas ◽  
Seema Mahesh ◽  
George Vithoulkas
Keyword(s):  
Bone Marrow ◽  
Case Report ◽  
Magnetic Resonance ◽  
Knee Joint ◽  
Magnetic Resonance Image ◽  
Bone Marrow Edema ◽  
Central Component ◽  
Image Finding ◽  
Magnetic Resonance Image Finding ◽  
Marrow Edema

Background: Bone marrow edema lesions around the knee are a common magnetic resonance image finding. They constitute a central component of a wide variety of inflammatory and noninflammatory conditions affecting the knee joint. Those lesions are not only a significant source of pain, but are also connected to many musculoskeletal pathologies. Case Report: We describe 2 cases of bone marrow edema of the knee joint treated with the aid of Classical Homeopathy. In both of the cases, Arnica montana was the chosen homeopathic remedy. Conclusions: The results of the treatment are promising, encouraging for more research on this area.

scholarly journals Basic Electroencephalogram and It Is Common Clinical Applications in Children

2020 ◽  
Author(s):  
Raafat Hammad Seroor Jadah
Keyword(s):  
Gold Standard ◽  
Clinical Applications ◽  
Age Group ◽  
Pediatric Age ◽  
Main Indication ◽  
Non Invasive ◽  
Pediatric Age Group ◽  
Ancillary Test ◽  
Electrical Impulses ◽  
The Brain

Electroencephalography (EEG) is a non-invasive neurophysiological study that monitors electrical activity of the brain. EEG is an essential investigational tool to analyze and record electrical impulses of the brain and considered to be the gold standard electrophysiological test which can be used to help diagnose epilepsy. EEG can also be used to diagnose and evaluate other conditions such as sleep disorders, neurometabolic diseases with encephalopathy and neuropsychiatric disorders. It is also an essential ancillary test in other conditions such as brain death assessment. However, it is essential not to entirely rely on EEG for an absolute diagnosis of epilepsy as the main indication of EEG in general and in Pediatric age group in particular is to categorize different types of seizure and epilepsy syndromes for further evaluation and management.

Atypical Osteoid Osteoma of sacral region in pediatric age group: a case report

2017 ◽  
pp. 28-31
Author(s):  
Shashi Sharma ◽  
Sakshi Dewan ◽  
Naveen Bhardwaj ◽  
Mir Aziz ◽  
Shilpa Singh ◽  
...  
Keyword(s):  
Case Report ◽  
Osteoid Osteoma ◽  
Age Group ◽  
Pediatric Age ◽  
Sacral Region ◽  
Pediatric Age Group ◽  
Group A

scholarly journals Congenital Lumbar Hernia in an 8-Month-Old Boy

2021 ◽  
Vol 15 (1) ◽  
pp. 431-435
Author(s):  
Mohamed Mansy ◽  
Mostafa Kotb ◽  
Mohamed Abouheba
Keyword(s):  
Congenital Anomalies ◽  
Lumbar Hernia ◽  
The Body ◽  
Age Group ◽  
Pediatric Age ◽  
Operative Repair ◽  
Pediatric Age Group ◽  
Organ Systems

Congenital lumbar hernias are uncommonly seen in the pediatric age group, with only about 60 cases reported in the literature. It is usually accompanied by a multitude of congenital anomalies involving different organ systems of the body. For instance, it may involve the ribs, spine, muscles, and the kidneys. Herein, we report a case of congenital lumbar hernia in an 8-month-old boy who underwent an operative repair using a mesh with an uneventful outcome.

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